KIDS SUMMER BOOT CAMPS
KIDS SUMMER BOOT CAMPS
KIDS SUMMER BOOT CAMPS
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<strong>KIDS</strong> <strong>SUMMER</strong><br />
<strong>BOOT</strong> <strong>CAMPS</strong><br />
Financial Assistance<br />
is available!<br />
Bring your kids for a great 1 hour cardiovascular and agility<br />
workout on land or in the water or do both! Please make sure to<br />
bring your water bottles and towels to both classes, water shoes<br />
to the H20 boot camp!<br />
5 Week Session:<br />
Starting July 23rd to August 22nd<br />
9am to 10am<br />
Ages: 9 to 13<br />
Mondays—<strong>BOOT</strong> CAMP— (Murphy Park Track) —$30/$50<br />
Or<br />
Wednesdays—H20 <strong>BOOT</strong> CAMP - (Murphy Park Pool) —$30/$50<br />
Or<br />
Both Days — <strong>BOOT</strong> CAMP and H20 <strong>BOOT</strong> CAMP—$50/$70<br />
For more information please call the Taylor<br />
Family YMCA @ 512-365-9622!
Check Session:<br />
2012 Program<br />
Registration Form<br />
Kids Summer Boot Camps<br />
For Single Class: $30 YMCA Member / $50 Non-YMCA Member<br />
For Both Classes: $50 YMCA Member / $70 Non-YMCA Member<br />
Class Time:<br />
July 23—August 22<br />
9am—10am<br />
______ Mondays-Boot Camp- (Murphy Park Track) - CCC Code 12FIT<br />
Or<br />
______ Wednesdays-H20 Boot Camp-(Murphy Park Pool) - CCC Code 12FIT<br />
Or<br />
______ Both Days-CCC Code-12FIT<br />
PARTICIPANT NAME_______________________________________________________________ SEX (M) or (F)<br />
AGE__________________<br />
EMAIL ADDRESS___________________________________________________________________________________________________________<br />
ADDRESS____________________________________________________________________<br />
BIRTHDATE_________/___________/___________<br />
CITY_____________________________STATE_________________ZIP__________________ HOME PHONE (__ __)____________________<br />
PARENT/ GUARDIAN NAME_____________________________________________________<br />
WORK PHONE (___ _)____________________<br />
CELL PHONE (_____)______________________<br />
PERMISSION FOR TRANSPORTATON: The YMCA Staff has my permission to transport my child to and from program location in the event of an<br />
emergency. I understand reasonable precautions will be taken to ensure the safety and supervision of my child.<br />
MEDICAL WAIVER: In the event that my child requires emergency medical treatment and I cannot be reached, I hereby authorize the YMCA Staff<br />
to make arrangements to transport my child to the nearest hospital/emergency medical facility. I give my consent for any and all necessary medical<br />
treatment, if, in fact my child requires the attention of a physician.<br />
WAVIER: I understand that YMCA activities have inherent risks and I hereby assume all risks and hazards incident to my participation in all<br />
YMCA activities including transportation to and from said activities. I further waive, release, absolve, indemnify, and agree to hold harmless<br />
the YMCA, the organizers, volunteers, supervisors, officers, directors, participants, coaches, referees as well as persons or parents transporting<br />
participants to or from such activities from any claims or injury sustained during my use of YMCA facilities or participation in any<br />
YMCA activity whether located on YMCA property or not.<br />
PHOTO RELEASE: I give my consent for pictures taken of my child involved in YMCA programs to be used for future YMCA promotions or display.<br />
REFUND/TRANSFER POLICY: Transfer or change requests are at the discretion of the Program Coordinator upon availability. There may be a<br />
transfer fee of $15.00.<br />
PARENT/GUARDIAN ACKNOWLEDGEMENT: This is to acknowledge that I have read and agree to the above information. Int.___________<br />
________________________________________________________________<br />
Parent Signature<br />
______________________<br />
Date<br />
Office Use Only: Amount paid _______ Date _______ Staff initials______